Peer Review #1 of "Nursing home residents’ ADL status, institution-dwelling and association with outdoor activity: a cross-sectional study (v0.2)"
Notice bibliographique
Résumé
Introduction.The Norwegian regulations for nursing homes consider access to meaningful activities to be an indicator for the quality of nursing homes.Activities of daily living (ADL) provide important basic self-care skills for nursing home residents.Due to the physical changes caused by ageing and comorbidities, nursing home residents may experience functional decline over time, which may affect their ability to perform meaningful ADL, such as outdoor activity, which is considered a valuable and meaningful activity in Norwegian culture.This study aimed to investigate the association between ADL status, institution-dwelling and outdoor activity among nursing home residents. Methods.This cross-sectional study included 784 residents aged >67 years living in 21 nursing homes in 15 Norwegian municipalities between November 2016 and May 2018.The Barthel Index was used to assess the nursing home residents' ADL status.Other variables collected were age, gender, body weight and height, visits per month, institution, ward, and participation in weekly outdoor activities.Descriptive statistics were used to provide an overview of the residents' characteristics.A Poisson regression model was used to test the association between the outdoor activity level as the dependent variable and ADL score, institution, and other control variables as independent variables. Results.More than half (57%) of the nursing home residents in this sample did not go outdoors.More than 50% of the residents had an ADL score <10, which indicates low performance status.Further, we found that residents' ADL status, institution, ward, and number of visits had an impact on how often the residents went outdoors.Discussion.The nursing home residents in this study rarely went outdoors, which is interesting because Norwegians appreciate this activity.Differences in the number of visits might explain why some residents went outdoors more often than other residents did.Our findings also highlight that the institutions impact the outdoor activity.How the institutions are organized and how important this activity is considered to be in the institutions determine how often the activity is performed. Conclusion.The low frequency of the outdoor activities might be explained by a low ADL score.More than 50% of the residents had an ADL score <10, which indicates low performance status.Despite regulations for nursing home quality in Norway, this result suggests that organizational differences matter, which is an important implication for further research, health policy and practice.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,030 | 0,288 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,003 | 0,001 |
| Bibliométrie | 0,009 | 0,006 |
| Études des sciences et des technologies | 0,005 | 0,003 |
| Communication savante | 0,007 | 0,004 |
| Science ouverte | 0,005 | 0,005 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,134 | 0,048 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».